The Impact of Augmentative and Alternative Communication Intervention on the Speech Production of Individuals With Developmental Disabilities: A Research Review

Millar, Diane; Light, Janice; Schlosser, Ralf W.

doi:10.1044/1092-4388(2006/021)

Cited by 364 publications

(194 citation statements)

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“…Studies [19][20][21][22][23] have shown that the presence of language difficulties and cognitive deficits is a relevant condition to indicate the use of systems and symbols from Augmentative and Alternative Communication (AAC) for this population, which includes, temporarily or permanently, individuals with DS. In other words, depending on the individual's profile of communication difficulties, the use of AAC could be a tool for language support or an alternative resource for language expression.…”

Section: This Research Was Approved By the Ethicsmentioning

confidence: 99%

O uso da comunicação suplementar e/ou alternativa no trabalho com a morfossintaxe em adolescentes com Síndrome de Down

2014

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Clinical Trials registration number: NCT 00952354Conflict of interest: non existent typical development (TD), and literature indicates a relationship between lexicon and grammar. It is reported greater difficulties in functional words, such as articles, pronouns, prepositions and conjunctions, which have greater grammatical load, than in words with semantic content, such as nouns, verbs, and adjectives. In addition, these children have difficulties combining words and dealing with morphosyntactic rules, which have implications in phrasal structure [1][2][3][4][5][6][7][8][9] .The use of Mean Length Utterance -MLU 10 as a measure of language development in children with DS corroborates these difficulties, and indicates frequent omission of grammatical morphemes, particularly of functional words, resulting in ABSTRACT Purpose: to present and to discuss the use of augmentative and alternative communication as a therapeutic tool with the morphosyntax with adolescents with Down syndrome. Methods: this pilot study monitored during 12 months four adolescents chronologically aged between 13 and 15 years and mentally aged between 5 and 6 years. It were analyzed the initial and the final assessments, situations of free interaction between the participant and the caregiver videotaped during 30 minutes. The speech samples were analyzed as MLU values considering morphemes and words, comparing both the two situations. All of the participants were submitted to the same procedures during the therapeutic interventions. Picture Communication Symbols (PCS) has been used and the symbols were organized according to a simple syntactic structure (substantive + verb + complement) with a gradual extension, and the elements were rated at the following order: articles, prepositions, pronouns (personals, possessives and demonstratives), and conjunctions. Each therapeutic session was recorded in specific protocol. It was used the Wilcoxon test and the p value considered was 5%. Results: spites there were no statistical significant differences, increase in number of morphemes and words used between the both assessments was observed. This improve was represented by the worked elements, including prepositions and conjunctions beyond substantives and verbs. For personal pronouns there was tendency to significance (p=0,068). Conclusion: the communication system showed to be a therapeutic tool to improve the use of syntactic elements in statement structures, as articles, prepositions and conjunctions, which use for individuals with Down syndrome are difficult.

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Section: This Research Was Approved By the Ethicsmentioning

confidence: 99%

O uso da comunicação suplementar e/ou alternativa no trabalho com a morfossintaxe em adolescentes com Síndrome de Down

2014

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“…O uso da CSA tem como objetivo o desenvolvimento da competência comunicativa do seu usuário, e é possível que tenha efeitos positivos inclusive para a produção oral (Millar et al, 2006).…”

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“…São poucos os estudos na literatura que abordam o uso da CSA especificamente em grupos de indivíduos com SD, embora sejam referidos claramente como candidatos ao seu uso, muitas vezes juntamente com outras populações (déficits cognitivos, outras síndromes, autistas) (Beukelman e Mirenda, 1998;Millar et al, 2006;Roberts et al, 2007a;Rudd et al, 2007).…”

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“…mais icônico (mais fácil) do que o símbolo de um adjetivo ("legal", p.ex.) (Millikin, 1997 (Millar et al, 2006). No entanto, o uso desses sistemas visa capacitar e/ou promover melhor qualidade de comunicação, e não especificamente promover o desenvolvimento da linguagem verbal em termos quantitativos.…”

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“…Pesquisas científicas específicas sobre o uso de sistemas de CSA com indivíduos com SD são escassas (Foreman e Crews, 1998;Millar et al, 2006 Para identificação da fase de desenvolvimento cognitivo dos participantes, aplicou-se o protocolo adotado no LIFSASM (Limongi et al, 2000b) (Anexo 4), elaborado a partir dos princípios propostos pela…”

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The Impact of Augmentative and Alternative Communication Intervention on the Speech Production of Individuals With Developmental Disabilities: A Research Review

Abstract: Future research is needed to better delineate the relationship between AAC intervention and speech production across a wider range of participants and AAC interventions.

Cited by 364 publications

References 38 publications

O uso da comunicação suplementar e/ou alternativa no trabalho com a morfossintaxe em adolescentes com Síndrome de Down

O uso da comunicação suplementar e/ou alternativa no trabalho com a morfossintaxe em adolescentes com Síndrome de Down

Comunicação suplementar e/ou slternativa e ganho lexical na criança com síndrome de Down: estudo piloto

Speech and language therapy to improve the communication skills of children with cerebral palsy

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